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Practical Nurse

2 months ago


Albany, New York, United States Veterans Affairs, Veterans Health Administration Full time
Job Summary

This position is an exciting opportunity for a skilled LPN/LVN to join our team in Primary Care. As a member of our healthcare team, you will play a vital role in providing high-quality patient care and contributing to the success of our organization.

Responsibilities
  • Assess, plan, implement, and evaluate patient care, including interviewing patients, performing general systems appraisals, and collecting objective and subjective data.
  • Collaborate with Registered Nurses/Providers to develop and implement individualized patient care plans.
  • Contribute to the interdisciplinary team in developing, implementing, and evaluating patient treatment and follow-up healthcare.
  • Collaborate with members of other services regarding patient changes, laboratory results, treatment responses, and other pertinent care parameters.
  • Perform support duties for complex diagnostic tests and/or specialized practices or procedures, including preparing patients, assisting in diagnostic examinations, preparing and handling specialized instruments or equipment, and monitoring patient conditions.
  • Modify patient care plans in accordance with recognized nursing standards and prescribed treatment.
  • Meet patient needs through direct physical care and psychosocial intervention, assuming responsibility for nursing management of unstable patients with unpredictable care needs.
  • Demonstrate knowledge and understanding of human behavior, patient motivations, and reactions to situations, utilizing this knowledge to work effectively with patients, family members, and other staff.
  • Make necessary judgments prior to preparing and administering prescribed medications, recognizing side effects and contraindications, and promptly documenting noted changes and reporting deviations from normal to RN or MD/DO.
  • Provide patient/significant other instruction regarding common medications.
  • Perform support duties for diagnostic procedures, including preparing patients, patient education, assisting in diagnostic examinations, preparing specimens, preparing and passing instruments, and monitoring patient conditions.
  • Recognize emergency situations, responding promptly and instituting appropriate actions.
  • Support patients and/or family members in integrating patient care plans toward achievement of discharge objectives.
  • Establish constructive relationships with individual patients and their families to elicit feelings and attitudes, promoting positive relationships, communication, and socialization skills.
  • Foster an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery.
  • Effectively incorporate knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers.
  • Serve as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs, actively seeking out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.
Work Schedule

Full-time, Monday through Friday, 8:00 AM to 4:30 PM, with potential for off-tour and weekend work. Telework: Not available. Virtual: This is not a virtual position.

Relocation/Recruitment Incentives

Not authorized. EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact the EDRP Coordinator for questions/assistance. Learn more.

Requirements
  • Must be a U.S. Citizen.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment.
  • Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Must be proficient in written and spoken English.
  • You may be required to serve a probationary period.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process.
  • Must pass pre-employment physical examination.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
Qualifications
  • Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met.
Basic Requirements
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Education: Graduate of a school of practical or vocational nursing approved by the appropriate State agency and/or accredited by the National League for Nursing Accrediting Commission (NLNAC) at the time the program was completed by the applicant.
  • Licensure: Full, active, current and unrestricted licensure as a licensed practical or vocational nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or District of Columbia.
  • English Language Proficiency: Licensed practical or vocational nurses appointed to direct patient care positions must be proficient in both spoken and written English as required by 38 U.S.C. 7402(d), and 7407(d).
Grade Determinations
  • GS-3: None beyond the basic requirements.
  • GS-4: Employees may be appointed at or advanced to GS-4 if they meet any of the criteria in paragraphs (a) through (c) below: (a) Six months of qualifying experience as an LPN or LVN; or (b) Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; or (c) Graduation from an approved school of at least 24 months duration.
  • GS-5: (a) Completion of at least 1 year of qualifying experience at the GS-4 level or equivalent. (b) Demonstrated knowledge and ability to provide a full range of practical nursing care to patients with a variety of physical and/or behavioral problems. Works with the RN and/or MD/DO to appropriately orient/train less experienced LPNs/LVNs and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to acceptable standards of practice in promoting optimal patient care delivery. Provides effective education to patients and/or family members in relation to common disease processes, medication, and/or prescribed treatment regimes. (c) Demonstrated ability to serve as a responsible member of the nursing team and interact in an appropriate manner with patients, family members, professional and other supportive personnel involved in the delivery of patient care, incorporating acceptable, established customer service standards into practice. (d) Knowledge and skill sufficient to prepare, administer, and appropriately document actions taken specific to commonly prescribed oral, topical, subcutaneous, intramuscular, and/or intravenous medications as permitted by approved local facility policies and procedures. (e) Knowledge and ability to recognize the need for and to institute emergency measures when indicated, promptly seek the assistance of the RN or MD/DO, and assist in resuscitation procedures in cardiac and/or pulmonary arrest. (f) Recognizes and appropriately responds to breakage/malfunction or loss of equipment, safety hazards, and supply deficiencies, promptly reporting to appropriate personnel for corrective action.
  • GS-6: (a) Completion of at least one (1) year of additional qualifying experience at the GS-5 level or equivalent, fully meeting all performance requirements for the GS-5 LPN/LVN. (b) Technically proficient in initiating, performing and completing assigned duties in providing care to variable patient populations. Knowledge and ability to appropriately carry out assigned patient care based on the patients' conditions; to use judgment in selecting the appropriate order and sequence of procedures and treatments; and to accurately recognize, report and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness and conformity with established policies/procedures. (d) Ability to observe, identify and respond to the patient's needs for care, including medication, equipment-assisted care and patient/family education. In organizing and delivering care, the LPN/LVN recognizes and considers emotional, cultural, spiritual, socio-economic, and age-related factors. (e) Prepares and administers prescribed medications (oral, topical, subcutaneous, intramuscular and/or intravenous) and performs treatments according to established policies/procedures. Observes for physical and/or emotional changes in patient's condition from prescribed medications/treatments, promptly and accurately documenting noted changes, and reporting any deviations from normal to RN or MD/DO. (f) Knowledge and ability to recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. (g) Knowledge and understanding of human behavior, patient motivations, and reactions to situations, and ability to appropriately utilize this knowledge in working effectively with patients, family members, and other staff. (h) Establishes constructive relationships with individual patients and their families to elicit feelings and attitudes, and to promote positive relationships, communication, and socialization skills. Fosters an environment of respect for individual patient and family rights to privacy and dignity in all aspects of care delivery. Effectively incorporates knowledge and understanding of established customer service standards in all interactions with patients, family members, and/or other internal/external customers. (i) Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patient's condition before, during, and following the procedure. Serves as a preceptor in orienting, educating, and training less experienced LPNs/LVNs or NAs/HTs related to support duties for these more complex, specialized tests/procedures. (j) Actively seeks out educational opportunities to enhance nursing knowledge and skills, sharing new knowledge gained with other staff to improve and advance nursing practice.
Preferred Experience

Clinic experience highly desired.

References

VA Handbook 5005, Appendix G13

Physical Requirements

Heavy Lifting (35 lbs and over); Heavy Carrying (35 lbs and over); Straight Pulling (up to 1 hour); Pushing hours); Reaching above shoulder; Use of fingers; Both hands required; Walking (up to 4 hours); Standing (up to 4 hours); Kneeling (up to 2 hours); Repeated bending (up to 4 hours); Both legs required; Ability for rapid mental and muscular coordination simultaneously; Near vision correctable at 13" to 16"; Far vision correctable to 20/20 in one eye and to 20/40 in the other; Ability to distinguish basic colors; Ability to distinguish shades of colors; Hearing (aid permitted); Emotional/Mental stability

Education

A transcript must be submitted with your application if you are basing all or part of your qualifications on education

Note

Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment.

You can verify your education here:

If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education

For further information, visit: